Urgent Call to Action: Engaging Hospitalists in Family Planning
Authors: Eileen Barrett, Laura Chambers-Kersh
Journal: Annals of Internal Medicine (2022)

Ideas and OpinionsSeptember 2022Urgent Call to Action: Engaging Hospitalists in Family PlanningEileen Barrett, MD, MPH and Laura Chambers-Kersh, MDEileen Barrett, MD, MPHEileen Barrett Physician Services, Albuquerque, New Mexico (E.B.)Search for more papers by this author and Laura Chambers-Kersh, MDSoin Family Medicine Residency, Dayton, Ohio (L.C.).Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/M22-1450 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail There are no training requirements in family planning for most hospitalists, possibly due to having time-limited relationships with patients and rare involvement in longitudinal care. Hospitalists frequently take care of patients of childbearing age, and this has never been more the case than now because of the concurrent epidemics of COVID-19, substance use disorders, and obesity and their resultant complications among younger persons. We argue that hospitalists should be addressing contraceptive needs among inpatients despite possible challenges.Current deliberations by the U.S. Supreme Court about abortion rights give new urgency to considering women's contraceptive needs in all interactions with the ...References1. Finer LB, Zolna MR. Declines in unintended pregnancy in the United States, 2008-2011. N Engl J Med. 2016;374:843-52. [PMID: 26962904] doi:10.1056/NEJMsa1506575 CrossrefMedlineGoogle Scholar2. Peipert JF, Madden T, Allsworth JE, et al. Preventing unintended pregnancies by providing no-cost contraception. Obstet Gynecol. 2012;120:1291-7. [PMID: 23168752] doi://10.1097/AOG.0b013e318273eb56 CrossrefMedlineGoogle Scholar3. Committee opinion no. 615: access to contraception. Obstet Gynecol. 2015;125:250-255. [PMID: 25560140] doi:10.1097/01.AOG.0000459866.14114.33 CrossrefMedlineGoogle Scholar4. Englander H, Dobbertin K, Lind BK, et al. Inpatient addiction medicine consultation and post-hospital substance use disorder treatment engagement: a propensity-matched analysis. J Gen Intern Med. 2019;34:2796-2803. [PMID: 31410816] doi:10.1007/s11606-019-05251-9 CrossrefMedlineGoogle Scholar5. Stone RH, Griffin B, Fusco RA, et al. Factors affecting contraception access and use in patients with opioid use disorder. J Clin Pharmacol. 2020;60 Suppl 2:S63-S73. [PMID: 33274509] doi:10.1002/jcph.1772 CrossrefMedlineGoogle Scholar6. Akers AY, Gold MA, Borrero S, et al. Providers' perspectives on challenges to contraceptive counseling in primary care settings. J Womens Health (Larchmt). 2010;19:1163-70. [PMID: 20420508] doi:10.1089/jwh.2009.1735 CrossrefMedlineGoogle Scholar7. Centers for Disease Control and Prevention. US Medical Eligibility Criteria (US MEC) for Contraceptive Use, 2016. Accessed at www.cdc.gov/reproductivehealth/contraception/mmwr/mec/summary.html on 6 May 2022. Google Scholar8. Aiken AR, Borrero S, Callegari LS, et al. Rethinking the pregnancy planning paradigm: unintended conceptions or unrepresentative concepts. Perspect Sex Reprod Health. 2016;48:147-51. [PMID: 27513444] doi:10.1363/48e10316 CrossrefMedlineGoogle Scholar9. Nelson HD, Cantor A, Jungbauer RM, et al. Effectiveness and harms of contraceptive counseling and provision interventions for women. A systematic review and meta-analysis. Ann Intern Med. 2022;175:980-993. [PMID: 35605239] doi:10.7326/M21-4380 LinkGoogle Scholar Author, Article, and Disclosure InformationAuthors: Eileen Barrett, MD, MPH; Laura Chambers-Kersh, MDAffiliations: Eileen Barrett Physician Services, Albuquerque, New Mexico (E.B.)Soin Family Medicine Residency, Dayton, Ohio (L.C.).Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M22-1450.Corresponding Author: Eileen Barrett, MD, MPH, 1320 Lafayette Drive NE, Albuquerque, NM 87106; e-mail, barrett.[email protected]com.Author Contributions: Conception and design: E. Barrett, L. Chambers-Kersh.Drafting of the article: E. Barrett, L. Chambers-Kersh.Critical revision of the article for important intellectual content: E. Barrett, L. Chambers-Kersh.Final approval of the article: E. Barrett, L. Chambers-Kersh.Administrative, technical, or logistic support: E. Barrett.This article was published at Annals.org on 28 June 2022. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics September 2022Volume 175, Issue 9Page: 1324-1325KeywordsContraceptivesHospital medicineHospitalists ePublished: 28 June 2022 Issue Published: September 2022 Copyright & PermissionsCopyright © 2022 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...